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MARION COUNTY BUILDING INSPECTION <br />lc, OR OlcFiGE USE OANLY] 220 High Stree~'~ ~ ~ I~ ~ ~ ~OFF~CE USE oNLY] <br />Received by: ~ ~ S~em, OR 97~ ~ ~ ~ ~k ~s: <br /> <br /> MANUFACTURED STRUCTURE PLACEME~ ~ ~ ~ <br /> CO~T~M~LSEC~ONS, 1T~O~GH 4 PER~T APPLICATiO~0N ~0UN~ ~C~~y <br /> <br />Residenlia1( ~ New( L~ Replacement( ) Garage o~ Carport <br /> ( ' ) At~chod <br />C~me~( ) New( ) Reph~t( ) ( ) Detached <br /> <br />Manufa~umfs Year ~ ] ~lor of L~gth; Wide: <br /> <br />2. Location of Instalhtion ~kl~'tI dt//,~ q ?:L?..S- <br /> <br /> Wate~ <br />Section ~.~ Towns~p ~ $ Range ~ ~e ,,,,,~ M Map / ..... l'tiva~W~ ( ) Spring( <br /> <br />3, Contractor Inibrmation <br /> <br />( )~n, ~s~e ~, or will msldc in the c~pl~tcd stm~u~. <br /> <br />IfI change my meg and do him a general contractor, I will contract with a contractor who is rcgistemd with the Construction Contractor's Bo~ rd, and will <br />irmnediately notify Marion County of the name al the contractor. <br />( i-/fi a' m a mgismred build~)R the authori?,ed r~pbe, ntative of a regis*tere'd builder, <br /> <br />4. Fee Schedulo <br /> <br />A, (1) Manufaaumd IIome <br /> <br /> or Modular Unit Placement/Connection <br /> <br /> (2) State Fee <br /> <br /> (3) ~tate Sgrcharge <br /> (4) .~¢ (15,00 ~f applicable) <br /> <br />B, (1) Mfg,'d Structure Storage Fee <br /> (2) Mfg.'d Structure Storage Renewal <br /> <br /> (3) Zoning Su~hatge (15,00 if applicable) <br /> <br />@ $182,00-- /~o~, ~'g C. Addkionallnspe. c~ion <br />@ 20,00-- a~/~, d'd or Reinspectlon <br />@ 9.1o-~ q. ,~ <br />@ ~ff= ~. 10 D, Inv~sfigalion Fee <br /> <br />@ $60,00:__ <br /> <br />TOTAL: $,~,~:c~ E, Other inspections not Used ~ $40,~ ~ 40.00 ~r hour (2 hoar mi~m) <br /> <br /> 25,~ =__ TOTAL; <br /> <br />on the reverse sld~ of this foray. ~' ~ , <br /> <br /> <br />